Journal of Capital Medical University ›› 2023, Vol. 44 ›› Issue (4): 583-589.doi: 10.3969/j.issn.1006-7795.2023.04.013

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Exploration of traditional Chinese medicine syndrome discipline of panic disorder based on Cluster analysis and Bayesian network

Song Mingkang1,2, Xu Tianchao3*#, Jia Hongxiao1,2*#, Li Dongdong3, Zheng Sisi1,2, Yin Dongqing1,2, Li Xue1,2   

  1. 1. The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China; 2. Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing 100069, China;3.Department of Psychiatry, General Hospital of the Northern Theater of the Chinese People's Liberation Army, Shenyang 110021,China
  • Received:2023-04-02 Online:2023-08-21 Published:2023-07-26
  • Supported by:
    This study was supported by Beijing Hospitals Authoritys Ascent Plan (DFL20191901), Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support (ZYLX202129), Natural Science Foundation of  Liaoning Province (20170540961).

Abstract: Objective  To explore the traditional Chinese medical (TCM) syndrome discipline of panic disorder. Methods  A standardized TCM syndrome inventory was used to collect symptoms based on the four diagnostic methods from 193 patients who met the criteria for panic disorder. Frequency analysis, Cluster analysis, and Bayesian network were performed, and relevant literatures and expert opinions were incorporated to determine the distribution of syndrome types. Results  The syndrome types of 193 patients with panic disorder involve the syndrome of deficiency of both heart and spleen (33.68%), syndrome of disharmony between heart and kidney (26.94%), syndrome of qi deficiency of heart and gallbladder (16.06%), syndrome of spleen-kidney deficiency (12.95%), syndrome of dampness-heat of spleen and stomach (10.36%). Conclusions  In addition to the syndrome of dampness-heat of spleen and stomach, syndrome types of deficiency seem to be more prominent in panic disorder, comprising syndrome of disharmony between heart and kidney, syndrome of deficiency of both heart and spleen, syndrome of spleen-kidney deficiency, syndrome of qi deficiency of heart and gallbladder. Also, most of the syndrome types are heart-related, involving syndrome of disharmony between heart and kidney, syndrome of deficiency of both heart and spleen, syndrome of qi deficiency of heart and gallbladder.

Key words: panic disorder, TCM syndrome discipline, Cluster analysis, Bayesian network

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